Re: [ozmidwifery] Options for twins
Yes, she has a copy. But thanks Sonja. On 4/26/06, Sonja Barry [EMAIL PROTECTED] wrote: Have you given her a copy of Justine Caines' article High Risk birth - Defined by Whom? found in Birth Matters vol10.1. Sonja - Original Message - From: Lesleycs To: ozmidwifery@acegraphics.com.au Sent: Friday, April 21, 2006 10:42 PM Subject: [ozmidwifery] Options for twins Dear list, I hope you can suggest a few options fora friend's daughter who is pregnant with twins and looking forwomen-friendly care. Her holisticbackground combined withinitial visits toGP andobstetricianhasleft her disturbed, defiant,and waryofgetting caught up in the system. But she is unsure of her options. I've given her some generalinformation about multiples (from 'Midwifery Matters', UK Midwifery archives, this list, AIMS, 'Birth Matters',details of MIPP etc.) together with some very-much-needed positive twin birth stories - all of which has affirmed her strong desire tokeep this pregnancy and birth normal. She lives in outer S.E. suburbs of Melbourne. Isopen to independent midwifery care, although money is an issue. Also no private health insurance. She's feels limited in her options and pushed to obstetric care by default, and is askingfornames of women-friendly practitioners. (Heard there was someone out Warrigal way?) What are her options? As 'high risk' does shequalify for any midwifery care programs? Are there any decent public shared careoptions in the area?And if she ispushed to find the money forprivate care how wouldthe cost ofindependent midwifery carecompare with an obstetrician? Any suggestions most welcome at this stage. Many thanks, Lesley
[ozmidwifery] Options for twins
I've passedon the information to the mum-to-be. Thanks to all as it has broadened her options. Lesley
RE: [ozmidwifery] waterbirth
Hi In the last edition of MIDIRS there was an interesting article called 'Giving Birth the Swedish Way' written by a third year midwifery student from the UK who did an elective placement in Sweden. She quotes: ...although hydrotherapy is highly recognised in Sweden for its effectiveness during labour and birth, water birth is no longer legal. When I asked a midwife why this is, I was told that around 12 years ago a baby died from asphyxia following a water birth and since then there has been no water birth in Sweden. No-one has ever appeared to challenge this. New, s. 2004 MIDIRS Midwifery digest vol14, no4, Dec 2004 p445 Cheers Lesley -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Andrea Robertson Sent: 13 March 2005 15:17 To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] waterbirth Hi Belinda, I am sitting here with Susanna Houd (from Denmark) and she says that Swedish women would never allow waterbirths to be banned it has been a part of the birth scene for years. South Australia has recently adopted Statewide policy (in consultation with consumers, midwives, doctors, paediatricians) on waterbirths that means that women anywhere in the State can have a water births. Regards, Andrea At 01:48 AM 12/03/2006, you wrote: I had an antenatal class yesterday and when they asked about waterbirth I discussed it along with hospital policy basically letting them know the benefits of it but that there are many practitioners who don't support it etc. One woman in the class said she was from Sweden and that they have recently banned waterbirth? Does anyone know anything about this?? Belinda -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. - Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education e-mail: [EMAIL PROTECTED] web: www.birthinternational.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.7.2 - Release Date: 11/03/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.308 / Virus Database: 266.7.2 - Release Date: 11/03/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Fw:(WOW) birth and breastfeeding attitudes
I used to breastfeed mine (one-handed) while pushing a supermarket trolley around doing the weekly shop! I even managed to continue at the check-out by passing up one item at a time from the trolley to the conveyor belt. Not conventional or restful but when you have 4 small children things just have to be done! Lesley - Original Message - From: Wayne and Cas [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, December 08, 2003 12:47 PM Subject: RE: [ozmidwifery] Fw:(WOW) birth and breastfeeding attitudes I breastfeed my bub in church :) Cas, Wayne, Liam and Daniel McCullough [EMAIL PROTECTED] www.casmccullough.com -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of JoFromOz Sent: Monday, 8 December 2003 11:29 AM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] Fw:(WOW) birth and breastfeeding attitudes I feel very strongly about the breast feeding in public issue as well. I can't WAIT to do it myself! No wonder some people have so much trouble breastfeeding - it's not considered normal enough to do infront of people, so how do they know how to do it and how to fix the common problems with it? I could be on my high horse for hours about this, but I'll jump off before I start galloping away :) Breastfeeding is just so important, and anyone who tries to tell me not to do it will cop an earful! :) Jo -- Babies are Born... Pizzas are delivered. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] fetal heart in labour
Well I always think that when evrything is going really well and smoothly in labour with no problems then frankly anyone could help at a birth. A midwife is there in order to act quickly when things begin to move away from normality and use her skills to deal with the situation - Original Message - From: Denise Hynd To: [EMAIL PROTECTED] Sent: Wednesday, December 03, 2003 4:08 PM Subject: Re: [ozmidwifery] fetal heart in labour Dear Mary The other question that comes to mind is also a reflection on what we claim as midwives to believe. 1) That child birth is normal life event so whenelse do we feel we need to takea pulse or other checks that all is as it appears normal?2) That it is thewoman' s birth and preganacy we are there as her advocates, it is a partnership of trust and empowerment. How empowering is it for us to take FH to allay our fears and keep us in theloop as to when to expedite the birth?The woamn is giving birth not us she needs to be in tune with her body and her baby not what we need to do to allay our fears, or those of our hierachies. Adrenaline is contagious inhibititing in labour! There are more signs that all is well than a FH and also there are signs that all is not well besides a FH, being fearfull at a birth is one. Similarly doing VE's so we can know ... We have all experienced women who have told midwives what is happening regardless or despite the VE similarly many women can tell us they know their baby is fine or not! Now I am not saying do not do either !! I am saying midwives need higher skills than these!! We need to develop empathy, high communication skills a 6th sense, (not to be trivialised) to be truly empowering, truly a midwife (with woman). What better start can a woman have to parenthood but to know she is intune with her baby and her body and she can trust herself her feelings?? Is this not with woman?? If a woman is working with her body and full of endorphins, in a position that is not conducive to us getteing an FH do we disturb them to get that FH in our notes or we risk censure from others?Last night I was in a hospital and the doptone I had with this particular woman every time I used it brought on another contraction, so I was disturbing her labour making her work more than her body might otherwise have done!! I understand many women labour in Holland with out their midwives, in fact the midwives tell them to get on with itand call their midwives when they feel the birth is iminent or or they need them!!Look at the outcomes, in Holland everywhere. Women have given birth for thousands of years with out any one, they do it today, it is normal . Even in Africa where thay have x number of problems, yes they die but comparatively few often not of obstructed labours etc, but because they have X number of diseases on top so they have no reserves!! Again I am not saying we should leave them but I am saying when at birth(here) be realistic, (our women are healthy, they can should be helped to listen, be aware of the workings of their bodies) supportive and a guardian of normalcy as we claim we are suposed to be the supporters of normal, women who listen to their bodies and feel confident THEY know when to expedite the labour (they try to get off beds in hospitals where our professionhashelped put them!!) They know when to call for help and when they know we will support them in their knowledge and understanding/attempts to help themselves and their babies they will call Midwivesfirst as they do in Holland!! Even Florence is credited with saying First do no Harm!! Do any one know what the Dutch or Kiwi giudelines are for FH monitoring ??? Denise Denise - Original Message - From: Mary Murphy To: [EMAIL PROTECTED] Sent: Tuesday, December 02, 2003 4:56 PM Subject: Re: [ozmidwifery] fetal heart in labour I acknowledge that Lesley I are at odds on this question. The informed choice guidelines ask some very important questions: "How do fetal heart rate patterns reflect foetal compromise? The understanding and interpretation of variations in the foetal heart rate are still in it's infancy." My observation is that there has been more harm done to mothers and babies from overzealous monitoring of foetal heart tones and the reaction to normal patterns that sound scary, than there has been from the more traditional frequency of auscultation.Denise asks a very valid question: "when does intermittent auscultation become continuous auscultation (listening after every contraction?) and an intervention in normal progress of birth??" Cheers, MM
Re: [ozmidwifery] fetal heart in labour
Oops, accidentally hit a button which sent off my unfinished email! Sorry. What I was saying was that in the second stage of labour it is possible to hurry a birth along if the condition of the baby deteriorates but how would you know that if you weren't listening in? I can think of 2 instances at home where because of listening after each contraction I was aware of deterioration and so urged huge pushes and (I admit) did episiotomies to get the baby out quickly and in each case the baby was folowed by a lake of meconium and poor apgars but were resuscitatable(?). Would these have been stillbirths otherwise? Who knows but I for one wouldn't be prepared to take the risk of not knowing what was going on. I also feel it needn't be at all intrusive to listen in; it can be done in any position and very gently and women are usually pleased to hear it. Really, any old one can be at an easy, no problem birth; we're not essential for those but we can certainly make a difference when things don't go quite so smoothly. Cheers Lesley - Original Message - From: Denise Hynd To: [EMAIL PROTECTED] Sent: Wednesday, December 03, 2003 4:08 PM Subject: Re: [ozmidwifery] fetal heart in labour Dear Mary The other question that comes to mind is also a reflection on what we claim as midwives to believe. 1) That child birth is normal life event so whenelse do we feel we need to takea pulse or other checks that all is as it appears normal?2) That it is thewoman' s birth and preganacy we are there as her advocates, it is a partnership of trust and empowerment. How empowering is it for us to take FH to allay our fears and keep us in theloop as to when to expedite the birth?The woamn is giving birth not us she needs to be in tune with her body and her baby not what we need to do to allay our fears, or those of our hierachies. Adrenaline is contagious inhibititing in labour! There are more signs that all is well than a FH and also there are signs that all is not well besides a FH, being fearfull at a birth is one. Similarly doing VE's so we can know ... We have all experienced women who have told midwives what is happening regardless or despite the VE similarly many women can tell us they know their baby is fine or not! Now I am not saying do not do either !! I am saying midwives need higher skills than these!! We need to develop empathy, high communication skills a 6th sense, (not to be trivialised) to be truly empowering, truly a midwife (with woman). What better start can a woman have to parenthood but to know she is intune with her baby and her body and she can trust herself her feelings?? Is this not with woman?? If a woman is working with her body and full of endorphins, in a position that is not conducive to us getteing an FH do we disturb them to get that FH in our notes or we risk censure from others?Last night I was in a hospital and the doptone I had with this particular woman every time I used it brought on another contraction, so I was disturbing her labour making her work more than her body might otherwise have done!! I understand many women labour in Holland with out their midwives, in fact the midwives tell them to get on with itand call their midwives when they feel the birth is iminent or or they need them!!Look at the outcomes, in Holland everywhere. Women have given birth for thousands of years with out any one, they do it today, it is normal . Even in Africa where thay have x number of problems, yes they die but comparatively few often not of obstructed labours etc, but because they have X number of diseases on top so they have no reserves!! Again I am not saying we should leave them but I am saying when at birth(here) be realistic, (our women are healthy, they can should be helped to listen, be aware of the workings of their bodies) supportive and a guardian of normalcy as we claim we are suposed to be the supporters of normal, women who listen to their bodies and feel confident THEY know when to expedite the labour (they try to get off beds in hospitals where our professionhashelped put them!!) They know when to call for help and when they know we will support them in their knowledge and understanding/attempts to help themselves and their babies they will call Midwivesfirst as they do in Holland!! Even Florence is credited with saying First do no Harm!! Do any one know what the Dutch or Kiwi giudelines are for FH monitoring ??? Denise Denise - Original Message - From: Mary Murphy To: [EMAIL PROTECTED] Sent: Tuesday, December 02, 2003 4:56 PM Subject: Re: [ozmidwifery] fetal heart in labour I acknowledge that Lesley I are at odds
[ozmidwifery] fetal heart in labour
Hi all I would really appreciate some opinions on frequency of listening to the FH in labour, particularly the second stage. I've always listened in every half hour in early labour, 15 minutely in cracking labour and after every contraction (and through some of them) in the second stage. I know of some midwives who do not feel this is necessary and so I'd love to hear more opinions. What I wonder is if the FH is not being listened in to how would you know whether to expedite the birth? Also if the worst happened how would it stand up in court? Thanks Lesley
Re: [ozmidwifery] New models of midwifery care
Hear, hear! - Original Message - From: Andrea Robertson [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Saturday, November 29, 2003 3:53 PM Subject: Re: [ozmidwifery] New models of midwifery care Hello Jo and Justine, Thanks for sharing your thoughts with us - can I suggest that you wait to see how this service will operate before you worry unnecessarily about obstetric care interfering with your planned home birth? The way this service will operate will be very similar to the Albany practice in the UK - which has wonderful outcomes: 43% home birth rate with an 85% hight risk caseload (social risk mainly - homeless, drug users, teenagers, non-English speaking, etc). The women at St George will have their own caaseloading midwife, which will be no different from an independent midwife. All independent midwives use guidelines for accepting women for a home birth and if they choose to contract in to any Government supported service (e.g. through Community Health) then they will be asked to work strictly to agreed guidelines in order to obtain their insurance cover. All guidelines will have some obstetric input because they will be dealing with criteria for transfer when there is a problem. If a midwife decides to work outside these guidelines then she is taking risks with the woman's health and also her own legal safety. The big advantage of the hospital based home birth service is that it will be free. Women who cannpt afford a private practitioner will not be excluded from having a home birth as happens now. THe people involved in setting up this service have vast experience of home birth in the UK and elsehwere and are dedicated to providing the best woman-centreds care they can. They wouldn't want anything else! We need this propject to go ahead, and quickly. At the moment we have no homebirth service that provides safety for the woman in terms of insurance and this is a worry for both women and their midwives. Let's all support this model rather than be trying to pick holes in it before the facts are known and it has even had a chance to be tried and tested! There are some very dedicated midwives out there who are trying to create the best birth options for women and they need out support. Regards, Andrea At 03:18 PM 29/11/2003, Jo Bourne wrote: speaking as a consumer I would definitely view a public hospital run homebirth service as a second choice to a private midwife that I chose for myself - partly because of the choosing the best personality for our family an partly because I would be very frightened of the hospital controlled service having far more rigid and beurocratic rules and regulations about when OB care was required during pregnancy or when transfer was required during labour. I would most likely spend the whole pregnancy worried about the day that my assigned midwife said well an OB has reviewed your notes and says you have to birth in hospital (for some reason that I don't agree with). I was very fearful (at least at the start) of my first pregnancy that I would be forced into labour ward for a reason I didn't agree with but was able to tell myself they can make me use the labour ward - they can't make me use the bed/drugs/whatever, its all the same floor of the building and same staff so I just w! on't let it bother me. I would find it much harder to think soothing thoughts about being denied a homebirth at the last minute... I realise that the risk of being denied a homebirth might be much less than I think but intellectual knowledge is somewhat separate from the intense *feeling* of anxiety about my midwife not being her own boss and able to use entirely her own judgement about appropriate care in my circumstances rather than a very rigid rule book. We don't know if we will be able to afford a private midwife in NSW if we get pregnant here. We very much want a homebirth and are very near RHW so I hope this service gets off the ground as we may need to use it - but I do feel anxious about it as I didn't get the best impression of the hospital/birth centre there when we did a tour. RHW seemed very hospital rule oriented rather than woman centred. I came away with a sense of inflexibility so I feel anxious that the same hospital will be running the homebirth service... For example StGeorge seem to have a far more flexible approach to postdates and breech presentation than RHW. I would not be impressed to be forced to birth in hospital after 41 weeks or some other arbitary date set by the hospital managing the homebirth service. I would want to at least discus breech birth at home with my midwife and I know many IPMs would be open to this, I feel certain a service run from RHW would not only force a hospital birth but would! be trying to force a ceaser. cheers Jo At 12:02 -0800 29/11/03, Marilyn Kleidon wrote: Dierdre, Jo, Justine: Coming from another state I am a little
Re: [ozmidwifery] Another unec. C-section...
Another nail in the coffin: washingtonpost.com Elective Caesareans Judged Ethical Doctors Group Issues Statement on Popular Procedure By Rob SteinWashington Post Staff WriterFriday, October 31, 2003; Page A02 It is ethical for doctors to deliver a baby by Caesarean section even if the mother faces no known risks from conventional labor, the nation's largest group of pregnancy specialists has decided.The American College of Obstetricians and Gynecologists' ethics committee is issuing a statement today that for the first time addresses the increasingly popular elective Caesarean sections -- those performed when there is no medical necessity. The organization has never before issued guidelines or official opinions about elective Caesareans, but for years it has been among many medical groups that campaigned to reduce the number of surgical deliveries for any reason.The new statement could help accelerate a rapid increase in Caesarean sections by making doctors more willing to perform the procedure on an elective basis, some experts said.In a retreat from the "natural childbirth" movement, the number of women undergoing surgical deliveries has reached an all-time high. More than one-quarter of all U.S. babies are delivered surgically, the highest rate since the government started collecting statistics on the issue in 1989.The reasons for the increase are complex and controversial, but the trend is being driven in part by a rise in elective Caesareans.Even if their babies are not in a feet-downward "breech" position, or they do not face other possible complications, some women are choosing to forego natural labor and instead schedule a surgical delivery, either for convenience, because they fear the pain of childbirth, or because of concerns about possible long-term complications from the physical trauma of labor and delivery.The increase has led to an intense debate. Opponents argue that elective Caesareans are costly, require more recovery time, and put women at risk for infections, hemorrhages and other complications.Proponents say Caesareans pose no serious risks for most women and that expectant mothers should have the choice. Some go further, saying doctors should actively offer the option because labor and delivery carries significant risks for long-term complications, including decreased sexual sensation, incontinence and other health problems.In the new statement, the ethics committee concludes that the relative risks and benefits of elective Caesareans vs. vaginal deliveries remain unclear, and it cautions against actively advocating surgical deliveries."The burden of proof should fall on those who are advocates for . . . the replacement of a natural process with a major surgical procedure," the committee wrote.Moreover, "given the lack of data, it is not ethically necessary to initiate discussion regarding the relative risks and benefits of elective [Caesarean] birth versus vaginal delivery with every pregnant patient," the committee wrote.But the committee also concludes that "if the physician believes that [Caesarean] delivery promotes the overall health and welfare of the woman and her fetus more than vaginal birth, he or she is ethically justified in performing" the procedure. Robert Lorenz, vice chief of obstetrics at William Beaumont Hospital in Royal Oak, Mich., a member of the committee, cautioned that the statement was not meant to encourage elective Caesareans but to provide an ethical context for making that decision."My concern is that people will take this as a carte blanche 'Let's do Caesarean sections on everyone,' " Lorenz said by telephone. "That's not the intent at all."Laura Riley of Massachusetts General Hospital, who chairs the organization's committee on obstetric practice, said the group would not issue specific guidelines about elective Caesareans until more research is done on their risks and benefits.But supporters of offering Caesareans as an option applauded the committee's statement as a significant shift. "I think it's a step to where we're going. And my guess is that as increasing evidence comes out, it will probably become a more accepted procedure," said W. Benson Harer Jr., medical director of the Riverside County Regional Medical Center in Moreno Valley, Calif., who triggered a furor when he was president of the organization by arguing that women should have the option of a Caesarean. "Before this statement, it was gray area. This clarifies it and gives it some permissibility."David C. Walters, an obstetrician-gynecologist in Mount Vernon, Ill., who actively advocates Caesareans, was disappointed it did not go further."I do think it's a step forward in that the college has grudgingly agreed that it might be a reasonable thing to do. That's new," Walters said. "They should have said that in the absence of compelling evidence to support the superiority of either vaginal birth or Caesarean
Re: [ozmidwifery] Email GNT re Homebirth
Excellent idea Denise (you're full of them!) Lesley - Original Message - From: Denise Hynd To: [EMAIL PROTECTED] Sent: Friday, October 03, 2003 10:38 PM Subject: [ozmidwifery] Email GNT re Homebirth Dear All George Negus Tonight continues to want to know what interests viewers that they would like to see. Why do we not all tell [EMAIL PROTECTED] [EMAIL PROTECTED] Would we like to see a segment on Australia's only government funded homebirth service Community Midwifery WA as part of National Homebirth Week 2003 (last week in October) ? Then tell them !Denise
Re: [ozmidwifery] solids for 11mth old
UNICEF releases new guidance on bed sharing for breastfeeding mothers-05/09/2003UNICEF UK's Baby Friendly Initiative, with the support of the Foundation for the Study of Infant Deaths (FSID), has launched a new information leaflet for breastfeeding mothers who are thinking of sharing a bed with their babies. This is the first time that the two organisations have released joint information.The UNICEF leaflet 'Sharing a bed with your baby' provides parents with accurate and helpful information about sleeping safely with their babies. It recognises that mothers who sleep with their babies find breastfeeding easier but also offers guidance on avoiding accidents and gives clear warnings against unsafe bed sharing. Parents are cautioned against sharing a bed with their baby if they smoke, have drunk alcohol, taken drugs or medication that makes them sleepy, or are extremely tired, as bed sharing under those conditions increases the risk of cot death. Parents are also informed of the dangers of sleeping with their babies on sofas. But the leaflet supports breastfeeding mothers who don't fall into these risk categories to use safe bed-sharing as a way of providing the enormous health benefits of breastfeeding."This leaflet should be extremely useful for both health professionals and parents," said Andrew Radford, Programme Director of UNICEF UK's Baby Friendly Initiative. "We know that many parents take their babies into bed with them for at least part of the night and that this can be a very positive experience, particularly if they're breastfeeding. However, we want to make sure that it's also a safe experience. By issuing a joint leaflet, UNICEF and FSID are giving clear and unambiguous information about both the benefits of bed sharing and the times when it is not safe" he added.Accessible via www.babyfriendly.org.uk/parents, more than half a million copies of the leaflet will be given free-of-charge each year to new mothers via the Baby Welcome sample packs distributed in hospitals.Commenting on the launch, FSID Director Joyce Epstein said, "We support the UNICEF Baby Friendly Initiative's efforts to promote safe bed sharing and we are delighted to be working with them."For more information or to arrange an interview with Andrew Radford at UNICEF UK's Baby Friendly Initiative please contact:Jo Fletcher in the UNICEF UK Press Office on: 020 7312 7677 or email [EMAIL PROTECTED]Notes to Editor:The Baby Friendly Initiative is a global programme of UNICEF and the World Health Organisation which works with the health services to improve practice so that parents are enabled and supported to make informed choices about how they feed and care for their babies. Health care facilities which adopt practices to support successful breastfeeding receive the prestigious UNICEF/WHO Baby Friendly award. In the UK, the Baby Friendly Initiative is commissioned by various parts of the health service to provide advice, support, training, networking, assessment and accreditation.There are currently 49 fully accredited Baby Friendly health care facilities in the UK and another 75 which have been awarded the Certificate of Commitment, the first stage towards becoming Baby Friendly.Breastfeeding and healthBabies who are not breastfed are more likely to suffer several severe illnesses, including gasto-enteritis, respiratory, urinary tract and ear infections. In childhood they are also at greater risk of asthma, eczema, and diabetes, while as adults they are more likely to suffer high blood pressure, obesity and other cardiovascular risk factors.Mothers who breastfeed for longest are least likely to suffer from breast and ovarian cancer and osteoporosis in later life.Full details can be found on the UNICEF Baby Friendly Initiative website:www.babyfriendly.org.ukThe Foundation for the Study of Infant Deaths is one of the UK's leading baby charities working to prevent sudden infant deaths and promote baby health. FSID funds research, promotes health advice to parents and professionals and supports bereaved families. More information on FSID and the health advice to protect babies from cot deaths and accidents can be seen at www.sids.org.uk/fsid or via the Helpline on 0870 787 0554. - Original Message - From: Pinky McKay To: [EMAIL PROTECTED] Sent: Wednesday, September 03, 2003 9:32 PM Subject: Re: [ozmidwifery] solids for 11mth old Hi Rhonda, Yep - there is a difference isnt there - I reckon I couldnt have stopped my boys
Re: [ozmidwifery] twilight delivery - or twilight baby?
Rather ironically this was promoted by the feminist movement. It was a German technique adopted by the Americans as a way to emancipate women from the pain of labour and so free them from the sexist burden of childbirth pain. Lesley . - Original Message - From: Mary Murphy To: [EMAIL PROTECTED] Sent: Wednesday, June 18, 2003 6:00 PM Subject: Re: [ozmidwifery] twilight delivery - or twilight baby? Hi, My 88yr old mother, a midwife in a previous life, tells me that it was a mixture of morphine and scopolamine. she was injected with it it in 1950, against her protests, for the birth of my sister and nearly died with an anaphylactic shock reaction.It was a common injection for "painless labour". It was painless alright because women were unconcious and sometimes couldn't remember giving birthMM - Original Message - From: Rhonda To: [EMAIL PROTECTED] Sent: Wednesday, June 18, 2003 5:19 PM Subject: [ozmidwifery] twilight delivery - or twilight baby? Hi, all of you knowledgable women, I was talking to a friend today who said that her sister in law whowas born in the 1940'sclaims to be a "twilight baby"? Apparently her mother - who has passed away now and cannot explain the reason - had her first child as a natural delivery - the second was this weird delivery where she went into hospital on her due day not in labour- got put to sleep and then woke up having delivered the baby vaginally while asleep or in twilight! The next two were normal, natural births. Does anyone know about this practice - obviously not done now days - i presume! She was curious about how it was done and why it may have been done. Any ideas? Regards Rhonda. IncrediMail - Email has finally evolved - Click Here image/gif
Re: [ozmidwifery] Re Episiotomy
Hi
Here's the MIDIRS abstract which concludes by
recommending hands on.
Lesley
A randomised controlled trial of care of
the perineum during second stage of normal
labour-British
Journal of Obstetrics and Gynaecology,vol 105, no 12, December
1998, pp 1262-1272McCandlish R; Bowler U; van Asten H; et
al-(December 1998)
Objective: To compare the effect of two methods of
perineal management used by midwives at the end of second stage on the
prevalence of perineal pain reported by women at 10 days after birth. The
methods compared were: 1. 'hands on', in which the midwife's hands are
used to put pressure on the baby's head in the belief that flexion will be
increased, and to support ('guard') the perineum, and to exert lateral
flexion to facilitate the delivery of the shoulders. 2. 'hands poised', in
which the midwife keeps her hands poised, prepared to put light pressure
on the baby's head in case of rapid expulsion, but not otherwise to touch
the head or perineum; the shoulders are allowed to deliver spontaneously.
Design: Randomised controlled trial. Setting: Recruitment and data
collection: Southmead Health Services NHS Trust, Frenchay Healthcare NHS
Trust, Royal Berkshire and Battle Hospital NHS Trust, West Berkshire
Priority Care Service NHS Trust, Severn NHS Trust, United Bristol
Healthcare NHS Trust, Weston Area Health NHS Trust and Glan Hafren NHS
Trust. Randomisation: Southmead Health Services NHS Trust, Bristol; and
The Royal Berkshire and Battle Hospital NHS Trust, Reading; Sample: 5741
women who gave birth between December 1994 and December 1996 Eligibility
and recruitment. During routine antenatal care midwives gave written
information about the trial to pregnant women and discussed participation.
A woman was eligible to participate if she had a singleton pregnancy with
cephalic presentation, was expecting a normal birth and was not planning
delivery in water, had not been prescribed an elective episiotomy, and did
not plan to give her baby up for adoption. If all these criteria were
fulfilled she was asked to give oral consent to join the trial. Women were
assured of their right to withdraw from the trial at any time. Once a
midwife had discussed the trial with a woman she attached a specially
designed HOOP sticker to the woman's notes and if she was ineligible for
any reason crossed it through. When a woman who was /=37 weeks
gestation and in established labour the midwife attending her re-checked
eligibility and consent to take part. Randomisation: At the end of second
stage, when the attending midwife was confident that a normal vagina]
birth was likely, she opened the next in a series of sequentially
numbered, sealed, opaque envelopes. This contained a card with details of
the woman's randomisation group. Data collection: Attending midwives
completed data collection forms for every woman who was randomised
immediately after birth, at 2 days and at 9-11 days postnatally; each
participating woman also self-completed a trial questionnaire at 2 days,
10 days and at 3 months after birth. Results: Questionnaires were
completed by 97% of women at 10 days after birth. 910 (34.1 %) women in
the 'hands poised' group reported pain in the previous 24 hours compared
with 823 (31.1%) in the 'hands on' group RR= 1.10 95% Cl 1.01 to 1.18:
absolute difference 3%, 0.5% to 5%, p=0.02). The rate of episiotomy was
significantly lower in the 'hands poised' group (RR 0.79, 99% Cl 0.65 to
0.96, p=0.008) and the rate of manual removal of placenta was
significantly higher in that group (RR 1.69, 99% Cl 1.02 to 2.78; p =
0.008). There were no other statistically significant differences detected
in any outcomes measured. Conclusion: Women in the 'hands on' group
reported significantly less perinea] pain than those in the 'hands poised'
group. Although this finding related mainly to mild pain at 10 days
afterbirth, it has the potential to affect large numbers of women. In the
light of this evidence, a policy of 'hands poised' care is not
recommended. If 'hands poised' care is used then audit of important
outcomes, for example relating to third stage, should be maintained; a
policy of 'hands on' care merits audit of episiotomy rates. The majority
of women who give birth in the UK experience a range of direct midwifery
interventions during normal labour. Such routine care affects huge numbers
of women and must be based on reliable assessment of risks and benefits.
In this trial thousands of women and hundreds of midwives committed
themselves to help answer
Re: [ozmidwifery] Interesting..
I always believed it was secondary or terminal apnoea that caused the baby to gasp whether inside or outside of the uterus. Lesley - Original Message - From: Mary Murphy To: [EMAIL PROTECTED] Sent: Thursday, May 22, 2003 4:25 PM Subject: Re: [ozmidwifery] Interesting.. Marilyn wrote "Yet most babies with mec liquor don't present with MAS. And some (a very few) babies with very normal uncomplicated labours and births do develop MAS. Is it the gasp of a baby in distress (which may happen at any time and be undetected) or just a random gasp that carries the mec deep into the lungs ? Just curious" I'm curious too. I haven't read any studies about that. Maybe it hasn't been done yet, or can't ethically be done? Does anyone know? MM
Re: [ozmidwifery] Placenta cream
Hi In England we used to send them off to cosmetic companies to do I don't know what with but after HIV it all stopped. Lesley - Original Message - From: Jennifer Semple [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, October 23, 2002 7:06 AM Subject: [ozmidwifery] Placenta cream I think I remember a midwife who used to live in France saying that human placentas are actually made in to cream. I can't remember if she said that the cream is sold in France or if it's exported. Hmmm... I'll have to double check. Has anyone else ever heard of anything like this? Jen - Original Message - From: Tom, Tania and Sam Smallwood [EMAIL PROTECTED] Date: Friday, October 18, 2002 2:27 pm Subject: Re: [ozmidwifery] animals eating Placenta sheep's placenta cream, which is very good for dermatitis and eczema. Interesting! -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
